<form name="mail" method="post" action="http://www.siue.edu/cgi-bin/FormMail.pl"> <input type="hidden" name="recipient" value="cjohnso@siue.edu" /> <input type="hidden" name="subject" value="Web Purchase Suggestion" /> <input type="hidden" name="sort" value="realname,email, Title,Author_editor,Publisher,Series,ISBN,Price,Format,Volumes,Reason" /> <input type="hidden" name="required" value="Title,Format,email, realname" /> <input type="hidden" name="redirect" value="http://www.siue.edu/lovejoylibrary/misc/confirmation.html" /> <table border="0" width="85%" cellspacing="3" cellpadding="3"> <tr> <td colspan="4"> <h2>Request the purchase of an item for the library.</h2> </td> </tr> <tr> <td colspan="4">If you wish to recommend an item to add to the library's collection, fill out the information below as completely as possible. Your request will be submitted for review and routed to the appropriate subject librarian. The library cannot guarantee the purchase of every item requested.</td> </tr> <tr> <td colspan="4">Request one item per form.</td> </tr> <tr> <td colspan="2"> <div align="right"> Title: <span style="color:#FF0000;">(required)</span> </div> </td> <td colspan="2"><input name="Title" size="50" type="text" value="" id="Title" /></td> </tr> <tr> <td colspan="2"> <div align="right"> Author/Editor: </div> </td> <td colspan="2"><input name="Author_Editor" size="50" type="text" value="" id="Author_Editor" /></td> </tr> <tr> <td colspan="2"> <div align="right"> Publisher: </div> </td> <td colspan="2"><input name="Publisher" size="50" type="text" value="" id="Publisher" /></td> </tr> <tr> <td colspan="2"> <div align="right"> Series: </div> </td> <td colspan="2"><input name="Series" size="50" type="text" value="" id="Series" /></td> </tr> <tr> <td colspan="2"> <div align="right"> ISBN/ISSN/Music#: </div> </td> <td colspan="2"><input name="ISBN or ISSN" size="50" value="" id="ISBN_ISSN" /></td> </tr> <tr> <td colspan="4">If you prefer to cut and paste, use text box below:</td> </tr> <tr> <td colspan="4"><textarea name="Pasted_Citation" rows="7" cols="80" id="Pasted_Citation"> </textarea></td> </tr> <tr> <td colspan="2"> <div align="right"> Price: </div> </td> <td colspan="2"><input name="Price" size="20" type="text" value="0.00" id="Price" /></td> </tr> <tr> <td width="22%"> <div align="right"> Format: <span style="color:#FF0000;">(required)</span> </div> </td> <td width="18%"><select name="Format" id="Format"> <option selected="selected"> </option> <option> book </option> <option> journal </option> <option> DVD </option> <option> VHS video </option> <option> other </option> </select></td> <td width="23%"> <div align="right"> Volumes: </div> </td> <td width="37%"><input name="Volumes" size="20" type="text" value="" id="Volumes" /></td> </tr> <tr> <td colspan="4">Choose a subject from the list below that best describes the subject of the item you are requesting.</td> </tr> <tr> <td colspan="2"> <div align="right"> Select subject (<span style="color:#FF0000;">required</span>) : </div> </td> <td colspan="2"><select name="Subject" id="Subject"> <option value=""> Select from this list: </option> <option> General </option> <option> Business </option> <option> Dental Medicine </option> <option> Education </option> <option> Engineering </option> <option> Fine Arts </option> <option> Humanities </option> <option> Nursing </option> <option> Pharmacy </option> <option> Science </option> <option> Social Sciences </option> <option> Other </option> </select></td> </tr> <tr> <td colspan="4">Why are you recommending this item for the Library?</td> </tr> <tr> <td colspan="4"><input name="Recommendation_Reason" size="80" type="text" value="" id="Recommendation_Reason" /></td> </tr> <tr> <td colspan="2"> <div align="right"> Your Name (<span style="color:#FF0000;">required</span>): </div> </td> <td colspan="2"><input name="realname" size="40" type="text" id="realname" /></td> </tr> <tr> <td colspan="2"> <div align="right"> Your Email <span style="color:#FF0000;">(required</span>): </div> </td> <td colspan="2"><input name="email" size="40" type="text" value="" id="email" /></td> </tr> <tr> <td colspan="4">If you would like to request this title for a specific library please choose one from the list below. The library will make the final decision about where the item will go.</td> </tr> <tr> <td colspan="2"> <div align="right"> Select library: </div> </td> <td colspan="2"><select name="Library"> <option> Select from this list </option> <option value="Lovejoy"> Lovejoy Library </option> <option value="Biomedical"> Biomedical Library </option> </select></td> </tr> <tr> <td colspan="2"> <div align="right"> <input name="Submit" type="submit" value="Submit" /> </div> </td> <td colspan="2"><input name="Reset" type="reset" value="Clear Form" id="Reset" /></td> </tr> </table> </form>